REAL EXAM QUESTIONS AND CORRECT ANSWERS| GRADED A+
|2025 LATEST VERSION | 100% VERIFIED
A child, age 4, with a recent history of nausea, vomiting, and diarrhea is admitted to the pediatric
unit with a diagnosis of gastroenteritis. During the physical examination, the nurse detects
tenting. This finding supports a nursing diagnosis of
A-deficient fluid volume related to dehydration.
B-risk for injury related to capillary fragility.
C-ineffective peripheral tissue perfusion related to peripheral cyanosis.
D-activity intolerance related to hypoxia. - (ANSWER)A
An infant is admitted to the hospital's pediatric unit with gastroenteritis. The nurse will include
what nursing actions in the plan of care? Select all that apply.
A-Begin prescribed rehydration measures.
B-Establish intake and output.
C-Weigh the infant.
D-Review arriving laboratory reports.
E-Protect skin from diarrheal stool.
F-Provide time for the parents to hold infant. - (ANSWER)All
A client is suspected of having a slow gastrointestinal bleed. The nurse should evaluate the client
for which sign?
A-increased pulse
B-nausea
,C-tarry stools
D-abdominal cramps - (ANSWER)C
A client reports having bloody stools to the nurse. What question(s) will the nurse ask the client?
Select all that apply.
a-"Are you having constipation?"
B-"Do you have a history of hemorrhoids?"
C-"When is the last time you had a colonoscopy?"
D-"Are you voiding in the middle of the night?"
E-"How often do you void during the day?" - (ANSWER)A B C
Total parenteral nutrition (TPN) is prescribed for a client who has recently had a small and large
bowel resection and who is currently not taking anything by mouth. What should the nurse do to
safely administer the TPN?
A-Administer TPN through a nasogastric or gastrostomy tube.
B-Handle TPN using strict aseptic technique.
C-Auscultate for bowel sounds prior to administering TPN.
D-Designate a peripheral IV site for TPN administration. - (ANSWER)B
A client who has ulcerative colitis is taking sulfasalazine to treat inflammation. Which
instructions related to drug therapy should the nurse include in the client's teaching plan? Select
all that apply.
A- Take the medication with meals.
B-Avoid exposure to direct sunlight.
C-Drink a full glass of water when taking the medication.
D-Report any bruising or bleeding.
, E-Take the medication with an antacid to decrease gastrointestinal side effects. - (ANSWER)B
CD
A client has just been diagnosed with hepatitis A. On assessment, the nurse expects to note
A-severe abdominal pain radiating to the shoulder.
B-anorexia, nausea, and vomiting.
C-eructation and constipation.
D-abdominal ascites. - (ANSWER)B
A nurse is preparing for the discharge of a neonate with a cleft lip and palate. One of the nurse's
major concerns is to
A-institute ordered antibiotic therapy.
B-administer supplemental vitamins.
C_apply a sterile dressing to the lip.
D-establish an adequate feeding pattern. - (ANSWER)D
Which nursing intervention is essential while caring for an infant with cleft lip or palate?
A-Avoid encouraging breastfeeding.
B-Cradle the infant horizontally while feeding.
C-Involve the parents in feeding as soon as possible.
D-Choose a regular nursery nipple for feedings. - (ANSWER)C
Which nursing intervention is a priority for an infant during the first 24 hours following surgery
for cleft lip repair?